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Self-management support for insulin therapy in type 2 diabetes
Martha M Funnell1, Davida F Kruger1, Mary Spencer1
1Michigan Diabetes Research and Training Center, Ann Arbor, Michigan
The Diabetes Educator
|April 21, 2004
Summary
Diabetes educators provide crucial self-management support for type 2 diabetes patients transitioning to insulin therapy. Their role helps patients navigate decision-making, initiation, and maintenance, overcoming psychological insulin resistance for effective treatment.
Area of Science:
- Endocrinology
- Diabetes Management
- Patient Education
Background:
- Type 2 diabetes often requires escalating treatment, including insulin therapy.
- Transitioning from oral agents to insulin can be challenging for patients.
Purpose of the Study:
- To describe self-management support provided by diabetes educators.
- To assist type 2 diabetes patients transitioning to insulin therapy.
Main Methods:
- Discussing the role of diabetes educators in patient education.
- Highlighting self-management support during insulin therapy initiation and maintenance.
- Addressing the decision-making process for insulin therapy.
Main Results:
- Insulin initiation can raise issues and questions for patients.
- Psychological insulin resistance may occur, viewing insulin as a threat or failure.
- Diabetes educators can mitigate resistance and ease the transition.
Conclusions:
- Informed decision-making and successful insulin therapy require education and support.
- Diabetes educators play a critical role in the transition to insulin therapy.